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HomeMy WebLinkAboutChecklist for Nonstate OrganizationsChecklist for Nonstate Organizations Note: This form is to be used to evaluate the applicability of the Florida Single Audit Act to local governments (excluding district scbool boards and community colleges), and nonprofit organizations with which the agency has contracts/agreements. This form does not need to be completed for local governments and nonprofits under contracts/agreements which only provide for the procurement of commodities, or which only provide federal or state matching funds. Given that for -profit organizations, including sole -proprietors, generally have vendor relationships with state agencies, completion of the form for such organizations is optional. Nonstate organizations) Miami Fire -Rescue. City of State Project: EMS Matching Grant Program Contract/Agreement Period: May 23. 2005-June 30.2006 Completed by: Edward L. Wilson. Jr. Agency: Florida Department of Health CSFA(2) Number: 64.003 Authorizing Statute: Chapter 401, Part II Dare: May 25.2005 W Nonstate Organization does not include universities within the State University System, of Catalog of State Financial Assistance Part A: If the response to either of the followinpiquestions is yes, the nonstate organization is a recipient. Skip Part B and go to Part C. 1, Does State lawflegislative proviso establish or create the nonstate organization to carry out the state project? Yes No X 2. Does the nonstate organization determine final program eligibility? Yes No X Part B: Complete the following table. A t'es"answer is indicative of the type relationship being reviewed #4 o., , �c 3 ; 8n i 3i. �... e4§'' � 3,-_.�a��� � R "° j!' i - a S j .. .. LI' ! ` ^ �4 4 4 A�¢` B' r. "`i sky; 1. Does state statute or legislative proviso establish the state project and authorize the agency to provide funding for the project? X In F.S. 401 Part II 1. Does the nonstate organization provide its services within the normal course of business operations'? X 2. Is the nonstate organization required to provide matching funds? X I 2, Does the nonstate organization operate in a competitive environment? X 3. Does the nonstate organization make programmatic decisions on behalf of the State? X 3. Does the nonstate organization provide similar services to many different purchasers? X 4. Are the funds provided to the nonstate organization for it to carry out its own program or operations? X 11 „ .•;;: 4. Does the contract agreement specify payment on a per unit or per deliverable basis? X 5. If the nonstate organization receives federal funds under a similar program, is it designated as a recipient by your agency for that program? N / A 4 5. Was the contract/agreement awarded based on free and open competition? X All EMS organizations and providers may Ppty 6. Is the nonstate organization organized primarily for a public purpose? X 6. If the nonstate organization receives federal funds under a similar program, is it designated as a vendor by your agency for that program? X Part C. Conclusion Based on your analysis of the responses to Parts A and/or B, and discussions with appropriate agency personnel, indicate your evaluation of the nonstate organization for this contract: (check one) Recipient X Vendor _ Note that it is possible to have a contractual agreement with a nonstate organization under Chapter 287, Florida Statutes, and still consider the nonstate organization a recipient under the Florida Single Audit Act COMMENTS: Part D: Question/New Projects. If you have questions regarding the evaluation of a nonstate organization or if you determined that the nonstate organization is a recipient and the project has not been assigned a CSFA number, contact the Executive Office of the Governor, Office of Policy and Budget, at 487-1880.